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Running head: HELPING HANDS 1 Helping Hands An Organizational Strategic Plan Project For A Senior Daycare Kimberley Barkley Sonya Jackson Patricia A. Kraemer Amy Shebester Ferris State University

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Page 1: Ferris State UniversityRN-BSN Portfolio - Portfolio - …...Ferris State University HELPING HANDS 2 Abstract Evidenced based research supports the claim that the elderly population

Running head: HELPING HANDS 1

Helping Hands

An Organizational Strategic Plan Project

For A Senior Daycare

Kimberley Barkley

Sonya Jackson

Patricia A. Kraemer

Amy Shebester

Ferris State University

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HELPING HANDS 2

Abstract

Evidenced based research supports the claim that the elderly population in the United States is

growing every year. Mecosta County is experiencing an increase in the elderly population at an

even larger rate. While some of the elderly population may remain independent, others require

assistance from family members or senior services. Helping Hands Senior Daycare Center was

developed using a comprehensive plan to address the growing needs of the elderly population in

Mecosta County. This plan includes the following areas: external / internal environmental

assessment, goals / objectives based on a company mission and philosophy, job descriptions,

staffing, promotion and budget. Helping Hands Senior Daycare offers a daytime respite for

caregivers while promoting independence for our clientele in a structured, safe, and friendly

environment.

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Helping Hands, Adult Daycare Center

Helping Hands is an adult day care service that will provide services to the senior citizen

population of Mecosta County. Our adult day care center is concentrated on the care of the

elderly while offering social interaction with the fellowship of others as well as providing health

related services. Helping Hands adult day care center focuses on enriching the participant’s

lives, building upon their skills, knowledge, and unique abilities. Helping Hands motto is “we

promote independence”.

Assessment of External and Internal Environment

Mecosta County has a larger percentage of senior citizens at 15.9% compared to the

Michigan state population census of 13.4% (U.S. Census Bureau, November 4, 2010).

Projections predict that 1 in 5 persons in the U.S. will be elderly by 2030 with the fastest

growing segment being the “oldest old (>85 years)” (Hobbs, n.d.). The oldest-old segment of the

population increased by 274% between the years 1960-1994 and is continuing to grow (Hobbs,

n.d.). In the years 2000 to 2010, the population of people aged 85 to 89 in the U.S. rose 29.8%

(U.S. Census Bureau, 2011, p.4). The need to provide supportive services for this growing

population based on these facts is clear.

Helping Hands will provide an array of health services, social interaction and fellowship

with other senior citizen participants along with assistance with activities of daily living and

supervised care (Caring, Inc., 2008-2011). Senior citizens who attend Helping Hands will enjoy

a warm, cheerful and safe environment for socialization. Some of the services provided would

include the following: information and enrollment for programs to provide nutritional meals such

as Meals on Wheels, snacks, free health screenings and computer technology workshops to

promote a continuum of independence. In addition to socialization, the center will also benefit

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the caregivers by providing respite services. Orem (1991), as referenced by Baker states,

“individuals who are engrossed with fulfilling multiple role responsibilities and the therapeutic

self-care demands of others may find it difficult to attend to their own self-care needs…In a

caregiver situation, this self-care deficit is manifested as caregiver strain” (Baker, 1997). Often

caregivers need time for themselves because of the demands and stress of providing round-the-

clock care.

The external environment of an adult day care center focuses around the political and

economic situation, social culture, and technological services, which will influence the way we

communicate with the customer as well as promote the daycare center. Most adult day care

centers rely heavily on funding from state legislatures and charities, which have been hit hard by

the recession. For the last two years, there has been an economic decline, which has left us in a

recession. This recession has affected many individuals, causing them to live on a limited

income to take care of their basic needs. The State Street Global Advisors (2011) indicated due

to the recession there has been a drop in stock markets, an increase in unemployment and a

decline in the housing market (p. 1). In Mecosta County alone, the unemployment rate has

jumped from 6.7% in 2003 to 13.7% in 2010 (USDA). According to the USDA Economic

Research Service, in 2009 an estimated 20.9% of the population lived at or below poverty level

(USDA Data Set).

Most people believe in a social culture where there is a need to provide valid services for

their loved one to be able to socialize within their own community and know that they are in a

safe environment close to family and friends. An internet search identifies two existing adult day

cares in Mecosta County located at the Barryton Senior Center, Barryton, MI and the Mecosta

County Commission on Aging, located in Mecosta, MI (Caring, Inc., 2008-2011). When

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contacting the Mecosta County Commission on Aging for pricing, social worker, Linda Stricker,

states the Caring, Inc. website is misleading and she knows of no full time senior daycares in the

county. The Mecosta County Commission on Aging is only able to provide four hours weekly of

respite care on a pre-arranged basis (L. Stricker, personal communication, July 14, 2011). Based

on the growing population of elderly in this country and the above average percentage of elderly

in Mecosta County, the need to expand services is evident. The services offered by adult day

care facilities are very important for the following reasons: they provide a safe environment,

nutritional services, and respite care for those who need time for themselves. We would promote

informational workshops via pamphlets, flyers, and Yellow Pages advertisements in our local

phone book.

When assessing the internal environments of adult day care centers, the strategies were

similar. The strategy to promote and market the adult day care center would include the

following: internet websites, pamphlets, flyers, and Yellow Pages advertisements in our local

telephone directory and physician referrals. When selecting a location for Helping Hands, we

must consider the location and the existing businesses in the area. Our facility will need to be

handicap accessible with wheelchair ramps and a one-floor design. We will need adequate (at

least two) bathroom facilities that are handicap accessible with safety rails installed. Mecosta

County has a public transportation system that is in operation Monday through Friday from 5:30

a.m. to 6:00 p.m. and is used by primarily the elderly population (MOTA). This pre-arranged

transportation system does not rely on bus stops so therefore could be utilized by our semi-

independent seniors for transportation to and from activities at Helping Hands.

The experienced staff would include the following: an activity director, assistant activity

director, a social worker, a registered nurse or licensed practical nurse, and a facility director.

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We would also utilize volunteers to assist with workshops and activities. We would promote the

need for volunteers through the student-nursing department at Ferris State University with flyers.

Nursing students with the appropriate background check would be offered service-learning

experience while helping the elderly population of Mecosta County. Flyers would be sent to

local schools and businesses asking for donations of computer equipment no longer in service to

supply our computer workshops. The costs and financial assistance for adult day care is

generally around $64.00 per hour (Robinson, Segal & White, 2010, p. 1). Some current services

offer a sliding scale based on your income and ability to pay. Most services do accept Medicaid;

however, the center has to be licensed, as an adult day care center primarily focused on low-

income patients with Alzheimer’s disease to qualify (Robinson, Segal & White, 2010, p. 1).

Other centers offer meal programs within the Mecosta County such as Meals on Wheels

Program, Big Rapids Lunch Bunch, Mecosta County Senior Center, and the Barryton Meal Site

(See Appendix A). The Meals on Wheels program was designed for homebound seniors over the

age of 60, which provides them three to five meals per week usually delivered at noon. The

Meals on Wheels program is funded by donations and federal grants allotted per county and

state. The Meals on Wheels program has grown to a highly regarded institution serving millions

of seniors each week across fifty states (Meals on Wheels Association of America, 2011).

Clients are encouraged to contribute a minimal fee of $1.50 per meal.

Mission Statement

Helping Hands adult daycare center is committed to providing effective structured

activities and quality services to the geriatric population while promoting independence. Our

experienced licensed staff focuses on caring for the whole client's mind, body and soul including

support services for the primary caregiver.

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Philosophy

The philosophy of Helping Hands adult daycare center is based on guiding senior citizens

through their geriatric years while encouraging independence. Through the advancement of

medical technology, we realize individuals are living longer and it is necessary to provide

services for them accordingly. We realize that some senior citizens are very active and we

support their autonomy. We provide technological workshops that are very beneficial since we

are currently living in a computer era. We understand the importance of maintaining

independence and living a quality life while recognizing some seniors need assistance with

activities of daily living and supervised care. We encourage our clients to participate in social

activities, board games, exercise classes, health fairs, technology classes and other services

offered. Our licensed experienced staff is also there to provide emotional support to our clients

and their caregivers. We are confident you will be satisfied with our services, which are rendered

in a clean, safe, caring and inviting environment.

Goals and Objectives

• Goal: to provide safe supervised and medically skilled daycare to the aging population of

Mecosta County who are unable to stay alone for periods of time.

1. Objective: to provide a warm, safe environment for those seniors who need

supervision throughout the day.

2. Objective: to administer daily medications, dressing changes and other treatments

beyond the scope of unskilled care.

• Goal: to assist with activities of daily living as needed to an aging population that is no

longer able to do so while maintaining their dignity.

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1. Objective: to keep seniors active and assist them in activities of daily living to

encourage independence within their scope of abilities thereby

preventing/delaying the need for institutionalization.

• Goal: to relieve caregiver strain through education and respite care.

1. Objective: to assess needs and offer education on self-care and stress relief to

primary caregivers upon enrollment.

2. Objective: to offer a monthly support group meeting to provide peer support and

sharing.

3. Objective: to offer personal time to caregivers as needed during operation hours

enabling them to

� Retain a job outside of their home

� Providing time away from care giver responsibilities to allow

maintenance of personal relationships and social time

� Obtain respite from 24 hour care needs (seniorresource.com., 2011)

• Goal: to improve quality of life for our senior population through increased social

interaction within their peer group with opportunities to gather, socialize and celebrate

together thereby reducing extended periods of isolation.

1. Objective: to host and promote weekly/daily gatherings for games, movies, crafts

and music.

Job Descriptions

The following job descriptions will be necessary to staff the Helping Hands Senior

Daycare and meet the above goals and objectives. An organizational chart of staffing is

available in Appendix B.

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Registered "urse/Director

The responsibilities of the Nurse/Director would include:

- Overseeing all aspects of the daycare to insure all aspects of care are consistent with our

mission and objectives.

- Promoting business

- Assessing clients

- Designing Plan of care

- Budgeting/financial responsibility

- Hiring/human resources

- Reviewing periodic Job Performance Analysis with staff

- Training and updates of staff education

- Locating and subcontracting food services and housekeeping

The requirements for this position would include

- Current licensure RN

- Education: BSN minimum

- Experience: nursing experience 2 years minimum, supervisor experience preferred.

- Technical/Computer skills: Familiarity with Microsoft Office or equivalent

Licensed Practical "urse

The responsibilities of the Licensed Practical Nurse (LPN) would include

- Participating in planning, implementation and evaluation of nursing care

- Assisting in administering medications

- Administering treatments such as wound care

- Assisting with activities of daily living

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Requirements for this position would include:

- Current licensure LPN

- NCLEX-PN (National Council of State Boards of Nursing, Inc., 2010).

- Experience: patient care as normally acquired during 2 years minimum direct patient

care.

- Nursing home experience preferred

Certified "ursing Assistants

The responsibilities of the Certified Nursing Assistants would include:

- Working with the LPN to provide assistance with activities of daily living

- Promoting independence within clients abilities

- Working with activities director in assisting clients with planned activities

- Light housekeeping

Applicants for this position must have attained certification as a nursing assistant through a

licensed Certified Nursing Assistant (CNA) program.

Social Worker

The responsibilities of the Social Worker would include:

- Working with RN director to provide social services for clients based on needs identified

during initial assessment and ongoing needs assessment. Services are provided in

accordance with the philosophy, mission, standards, policies and procedures of the home

health service.

- Coordinating assistance as needed for financial and medical assistance.

- Organizing and coordinating respite services for senior adults with disabilities including

developmental, cognitive, physical, emotional, behavioral and dually diagnosed.

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Recruiting qualified potential respite care providers and matching the provider with

respite care recipients. Developing and coordinating care plans that are strength-based

and person-centered in collaboration with the team and the individuals being served

(Respite Coordinator, Access services, 2011).

- Interviewing patients and families and coordinating and plans programs and activities to

meet their social and emotional needs

- Providing crisis intervention and assisting families in understanding the implications and

complexities of the medical situation and its impact on lifestyle.

- Coordinating services related to psychosocial needs.

- Planning and offering monthly respite support group meetings.

Applicants for this position must have a Master’s Degree in Social Work and 2-4 years’

experience in this field or a related area.

Activity Director

The responsibilities of the Activity Director would include:

- Working with the supervision of the RN director to coordinate daily activities to

stimulate body and mind while promoting socialization

- Keeping an updated calendar for clientele and families

- Communicating available programs to clients and families and encouraging participation

It is preferred that applicants for this position have senior services experience. They are required

to have a Bachelor’s degree in one of the following fields:

- human services

- special education

- psychology

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- social work

Financial director

The financial director would be responsible for working with the RN director on budget

management and preparing taxes and other financial documentation. He or she would be

required to have experience as a small business bookkeeper.

Spiritual Liaison

The Spiritual Liaison would be responsible for providing spiritual guidance and support

to clientele on an as needed basis. He or she would work with the RN and social work to provide

spiritual support and respite services to clients and their families. This position would be open to

a local pastor or divinity student.

Volunteers

Volunteers to Helping Hands Senior Daycare would assist clients with activities and

meals and perform some light housekeeping duties. The RN director would interview volunteers

for this position.

All employees and volunteers must be willing to submit to a background check.

Advertisement

To advertise for the above positions, the Helping Hands group designed a flyer and

researched placing advertisements in a local newspaper, in a national journal and on the internet.

An example of this is the advertisement created for an activity director for Helping Hands Adult

Daycare (See Appendix E). The plan was to have this viewed in the following media: locally via

The Pioneer newspaper, nationally via Geriatric Nursing Journal and internet via Craig's list (a

free website in Michigan).

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Local

In an effort to support the local economy, the most logical place to start advertising for an

activities director would be in the local newspaper. The Pioneer is a six day per week newspaper

published by the Pioneer Group headquartered in Big Rapids, MI. This newspaper has dedicated

ties to the local community and features a strong local classified section (The Pioneer Group,

2011). To submit an advertisement:

Pioneer - Employment

3-Day minimum for employment ads. (Daily: Monday-Saturday) Deadline: Tuesday-

Friday; 11am, 1 Business day prior to publication date; Saturday & Monday 11am on

Friday. Rates for 15 words or less: 3 Days $26.70, 4 Days $35.60, 5 Days $44.00, 6 Days

$52.80, 7 Days $61.60. There is an 25 Cents additional charge per word, per day, after 15

words. Please verify your publication selection prior to submitting your online ad. Your

ad will be published as requested. (The Pioneer Group, n.d.)

Additionally, a logo and picture may be added for $5.00 each. These will be printed in black and

white and are limited to a file size of 4000 KB and an image type of gif,jpg. The very minimum

advertisement would have a three day run with the title Activities Director, Helping Hands

Senior Daycare and a web address for resumes. This would cost $26.70 and price would

increase with more wording and pictures.

"ational

To advertise in a professional journal is a great deal more expensive with a significant

larger exposure. Geriatric Nursing has a circulation of 5,135 and has a target audience of

“gerontological nurses and nurse practitioners, nursing administrators, directors of nursing, and

educators involved in the management, education, research, and clinical care of elderly patients

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in nursing homes, hospitals, and home care settings” (Elsevier, Inc.,2011). Geriatric Nursing is

printed six times yearly and seems like an appropriate audience to advertise for an experienced

Activities Director for a senior adult daycare. (See Appendix C for pricing.)

Based on our flyer (Appendix E) the costs would be:

Full Page Ad (4color with bleed). A “bleed” is necessary on a full-page ad to allow

printer to fit the ad to the page without white edges.

1 Month - $4005/month

3 Months- $3925/month

Half Page Ad (4 colors/ no bleed necessary)

1 Month - $3105/month

3 Months- $3075/month

Quarter Page Ad (4 color/no bleed necessary)

1 Month- $2550/month

3 Months - $2510/month

(K. Kraemer, personal communication, July 5, 2011) (See Appendix C)

Internet

Many internet sites post job positions available. In 2001, with the recession, internet

visits to job sites skyrocketed (Mand, 2001). An estimated 2,095,006,005 people use the internet

as of March 31, 2011. Combined with the information that job listings on craigslist in most areas

including all of Michigan are free, this seems like an excellent place to maximize exposure for a

job position advertisement (2011).

Budget

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Salaries for positions needed for Helping Hands Senior Day Care were taken from Indeed

.com which offers an average of salaries nationwide (See Appendix D). Salaries in the Big

Rapids, Mi area are 25% lower than national average (Indeed.com, 2011). Recent statistics

released June 8, 2011 estimate the cost of benefits to private companies beyond salaries to be

30.4% (U.S. Bureau of Labor Statistics, 2011). This amount includes legally required benefits

such as worker compensation insurance, unemployment insurance and social security tax (U.S.

Bureau of Labor Statistics, 2011). Additional expenses for a private company to subcontract

finance expenses for a business of this size are $500 a month for bookkeeping and payroll, then

$750 to $1,000 for yearend taxes (S. Cicerone, personal communication, July 15, 2011) (See

Appendix D). The daycare operating costs of $90.92 per hour are based on expenses seen in

Appendix D and on being open sixty hours per week. It will be necessary to average ten clients

per hour at a cost to them of $10.00 per hour to meet the expenses. Currently, this will need to

be private pay as there are very few private third party payers reimbursing for senior daycare.

“State Medicaid programs may pay for health care that is provided in State licensed facilities,

including therapy services, mental health services, administration of medications, psychological

evaluations, dressing of wounds, and assistance with feeding. Private long-term care insurance

may also pay some of these costs, but Medicare will not” (Department of Health and Human

Services, 2009). Meeting state requirements for reimbursement will be evaluated on an

individual basis. A fee of $10.00 per hour for the average of ten clients will give Helping Hands

a profit of $9.08 per hour or $28,329.60 annually for unexpected expenses and future capital

equipment purchases. Mecosta Osceola Transportation Authority will be available to provide

transportation as needed for a senior citizen cost of $2.00 per person one-way and $1.00 per

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person within Big Rapids one-way (Mecosta Osceola Transportation Authority, 2011). This may

be a valuable service for transportation to special events planned by the Activity Director.

Helping Hands building expenses will be covered by a federal Capital Support grant.

“These are funds which are provided for major expenditures, typically long term assets such as

buildings or major equipment” (Go For Free Government Money.com, September 9, 2010). This

grant will allow an improvement in senior services in Mecosta County in addition to providing

jobs locally.

Summary

In conclusion, evidence based research supports the need for senior services related to the

growing geriatric population. The 2010 U.S. census shows the largest growing segment of the

population is the 54-64 age brackets at a rate to 31.5% between the years of 2000-2010 (U.S.

Census Bureau, 2011, p.2). Due to the rising numbers of the geriatric population, increased

allocation of local and federal funding will be necessary to provide these type services. Nurses

have an integral role in this process, working collaboratively with both local and federal

governments to plan for care for this growing population. Helping Hands Adult Daycare service

will be integral in the care of the senior residents of Mecosta County. Financially, Helping

Hands will support the local economy by adding jobs to the area, purchasing supplies and

advertising locally. Our cost of $10.00 per hour is much lower that the predicted cost of $64.00

per hour based on the initial assessment obtained from an internet search (Robinson, Segal &

White, 2010, p. 1). This cost is dependent on receiving a federal Capital Support grant to cover

building expenses (Go For Free Government Money.com, September 9, 2010). The increasing

number of aging baby boomers will make it necessary to maintain facilities such as Helping

Hands Adult Daycare Center.

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http://www.careerbuilder.com/JobSeeker/Jobs/JobDetails.aspx?ipath=EXGOO&siteid=C

BSIMPLYHIRED&Job_DID=J8C5P56HS77BLLRK3N9

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HELPING HANDS 20

Robinson, L., Segal, J., & Monika White, M. (2010). Adult day care centers: Finding the best

center for your needs. Retrieved from

http://helpguide.org/elder/adult_day_care_centers.htm

Salary Wizard. (2011). Description for Medical Social Worker (MSW). Retrieved from

http://www1.salary.com/Medical-Social-Worker-MSW-salary.html

Seniorresource.com (2011). Retrieved from http://www.seniorresource.com/hsdc.htm

Social Activities Director. (2005). Visit a senior living. Retrieved from

www.ncbcapitalimpact.org/.../aalmanual_ActivitiesDirJob.doc -

The State Street Global Advisors. (2011). Recession. Retrieved from

http://www.investorwords.com/4086/recession.html.

U.S. Bureau of Labor Statistics. (2011). Economic news release/Employer costs for employee

compensation news release text. Retrieved from

http://www.bls.gov/news.release/ecec.nr0.htm

U.S. Census Bureau (2010, November 4). Mecosta County, MI. Retrieved from

http://quickfacts.census.gov/qfd/states/26/26107.html

U.S. Census Bureau (2011). Age and sex composition/ 2010 Census Briefs. pp 1-15. Retrieved

from http://www.census.gov/prod/cen2010/briefs/c2010br-03.pdf

USDA Data Sets. (2009) 2009 County-level poverty rates for MI. Retrieved from

http://www.ers.usda.gov/Data/PovertyRates/PovListpct.asp?ST=MI&view=Percent

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Appendix A

BIG RAPIDS MECOSTA COU"TY

SE"IOR CE"TER LU"CH BU"CH

Parkview Village HiRise Bld. Commission on Aging 9 Adams St., Big Rapids 12954 80th Ave., Mecosta (231) 796-8689 Ext 113 (231) 972-2884 Lila Wallace Jones – Manager Shawn Sredersas, Coordinator

OPE": OPE":

Monday & Tuesdays Monday - Friday 10:00 AM to 1:00 PM 8:30 AM to 5:00 PM Meal served at 11:30 AM Meal served at 12:00pm General Public Welcome General Public Welcome

COST: COST:

Diners age 60+ or handicapped Diners age 60+ $3.00 Full Meal donation $3.00 Full Meal donation $2.00 Salad Bar Meal donation $2.00 Salad Bar Meal donation Diners under age 60 there’s a fee Diners under age 60 there’s a fee $4.75 full meal or salad bar meal $4.75 full meal or salad bar meal

ACTIVITIES: ACTIVITIES:

Regular activities include but Regular activities include but are not limited to: bingo, cards, aren’t limited to: fitness classes, games, arts & crafts, health line dancing, bingo, cards, clinics, educational programs games, health clinics, art classes And various topics of interest, card recycle, Readers Theater, And special programs computer education, and special events/programs.

RESERVATIO"S: RESERVATIO"S:

Call 231-972-2884 by Call 231-972-2884 by 10:00 AM the attending day. 10:00 AM the attending day.

BARRYTO"

MEAL SITE

Senior Building 71 Northern Ave., Barryton (98) 382-7244 Glenda Jamison - Manager

OPE":

Tuesdays 11:00 AM to 1:00 PM Meal served at 11:30 AM General Public Welcome

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COST:

Diners age 60+ or handicapped $2.00 Meal donation Dinners under age 60 there’s a fee $4.75 full meal

ACTIVITIES: Regular activities include but are not limited to: bingo, and other special programs.

RESERVATIO"S:

Call 231-972-2884 the day before desired attendance.

(Meal Sites, Mecosta County, Michigan, 2003).

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HELPING HANDS

Helping Hands Organizational Chart

LPN

Aides

Volunteers

Activities

Director

Appendix B

Helping Hands Organizational Chart

RN/Director

Activities

Director

Aides

Volunteers

Social

Worker

Spiritual

Liaison

23

Finance

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Appendix C

Recruitment/Classified Advertising Rate Card

Geriatric Nursing • 2011

1x 3x 6x 12x

Full page $2,650 $2,570 $2,510 $2,450

1/2 Page 1,750 1,720 1,670 1,575

1/4 Page 1,195 1,155 1,090 1,070

CONFIDENTIAL BOX NUMBERS $40

AGENCY DISCOUNT

15% - All rates noted on this card are GROSS for 1/4 page or larger size ads.

COMPOSITION

• Black/White only: Full page: $150 • Half page: $125

Quarter page: $95

• All production charges are net and non-commissionable

JOURNAL WEB SITE ADVERTISING

Contact your sales representative for rates and online opportunities.

COLOR

• Standard color (2C or 3C. Colors available are Black, Cyan, Magenta or Yellow): $525 per page or fraction.

• Matched color (PMS specific number): $585 per page or fraction.

• Metallic color (PMS specific metallic number): $865 per page or fraction.

• 4-color: $1,355 per page or fraction.

• Metallic and Matched (PMS) colors can be combined with the Black and White rate, or they can be added to the Standard or 4 Color charge.

• Color charges are in addition to earned black and white rates.

• Bleed: No charge.

CANCELLATIONS

Must be received in writing on or before the announced closing date.

MECHANICAL SPECIFICATIONS

Keep live matter 1/4” from trim edges.

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BINDING

Perfect; jogs to head

PRINTING PROCESS

Web text; sheetfed covers

HALFTONE SCREEN

150 line screen

DISPOSITION OF REPRODUCTION MATERIAL

All digital ad files will be held for twelve months only unless otherwise notified, furnished files will be destroyed.

Page Sizes Non Bleed Bleed

Trim 81/8” x 107/8”

Full Page 7” x 10” 83/8” x 111/8”

1/2 Page Horizontal 7” x 43/4”

1/2 Page Vertical 31/4” x 10”

1/4 Page 31/4” x 43/4”

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Appendix D

Helping Hands Expense Sheet Position Annual Monthly Weekly Benefits

RN $53,000.00 $4,416.66 $1,019.23 $17,666.66

Social Worker. Half time $20,500.00 $1,708.33 $394.23 $6,833.33

Activity Director $46,000.00 $3,833.33 $884.62 $15,333.33

Licensed Practical Nurse $34,000.00 $2,833.33 $653.85 $11,333.33

Aide $23,000.00 $1,916.66 $442.31 $7,666.66

Book keeper $6,000.00 $500.00 $134.62 $0.00

Tax services $1,000.00 $83.33 $19.23 $0.00

crafts& supplies $2,400.00 $200.00 $46.15

office supplies $3,600.00 $300.00 $69.23

phone/TV/Internet $1,439.88 $119.99 $27.69

linens $0.00 $0.00 $0.00

laundry $0.00 $0.00 $0.00

Breakfast/[email protected] $9,100.00 $175.00

lunch/[email protected] $13,000.00 $250.00

snack/[email protected] $7,800.00 $150.00

Start up expenses $4,000.00 $76.92

fixed expenses $0.00

Total $224,839.88 $4,343.08 $58,833.31

sum of annual expenses + Benefits $283,673.19

divided weekly $5,455.25

hourly for 60 hours/wk $90.92

10 patients/hr@$10/hr $100.00

Profit Per Hour: $9.08

Annual Profit: $28,329.60

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Appendix E

Bachelor’s Degree in human services, special education, psychology, social work or other related field. Requirements include the following: minimal two years experience in the areas of social services, psychology or developmental disabilities. There will be preference given to applicants with senior services experience

We offer a competitive salary with excellent benefits including paid time off and health insurance effective

immediately.

Mission Statement

“Helping Hands adult daycare

center is committed to

providing effective structured

activities and quality services to

the geriatric population while

promoting independence. Our

experienced licensed staff

focuses on caring for the whole

client's mind, body and soul

including support services for

the primary caregiver”.

Qualified Applicants only please:

Helping Hands Human Resource Office

5555 Bridge Street, Mecosta County

No Phone Inquires please

or apply on line

Attention: Mrs. Smith RN, Director

www.helpinghands.com

We are seeking an energetic,

enthusiastic, and experienced

individual to coordinate activities

for our senior clientele.

Responsibilities include the

following: plan, and facilitate

group activities while providing

social, emotional, and spiritual

needs to our elite clientele. The

Activity Director will be directly

supervised by the Registered

"urse.

Helping Hands

Adult Daycare Center

Seeking an Activity Director